DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackman, Lisa	DOIID	814222	NAIC NPN	16755855

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/10/2013	8/31/2017
Inactive	Non Resident	Agent	Casualty	7/10/2013	8/31/2017
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	11/4/2013	2/19/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	11/4/2013	2/19/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	11/4/2013	2/5/2016
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	11/4/2013	2/5/2016